Prior Approval Coordinator
5 days ago
We are currently looking for a skilled Prior Approval Coordinator who will join our team at Connext Global Solutions.
This role requires a knowledgeable and organized individual with excellent communication skills to ensure timely processing and compliance with insurance requirements for therapy services.
Key Responsibilities:
- Verify patient eligibility and benefits across multiple payers, states, and insurance products.
- Work closely with providers to collect accurate patient and medical records.
- Communicate authorization decisions and ensure approval in a timely manner by following up with insurers.
Requirements:
- Minimum of one year of experience in medical billing and/or understanding of benefits.
- Strong understanding of insurance policies and medical billing processes including CPT coding.
- Familiarity with provider software, including Electronic Medical Record Systems (EMR/EHR) and Practice Management Systems (PMS).
- Experienced with HMOs, PPOs, POSs, EPOs, Medicare, Medicaid, and understanding of each through the referral and authorization process.
Benefits:
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- Php 10,000 Sign-On Bonus
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